TECHNICAL FIELD
[0001] The present invention relates to a medicine dispensing system.
BACKGROUND ART
[0002] JP 2009-70304 A (Patent Document 1) discloses a system having a function of preparing a plurality
of dispensation data needed for a medicine dispensing apparatus to perform dispensation
based on a multiplicity of prescription data input from a prescription database.
Related-Art Document
Patent Document
SUMMARY OF INVENTION
TECHNICAL PROBLEM
[0004] Although the conventional system can prepare dispensation data needed for a medicine
dispensing apparatus to perform dispensation based on a prescription database, the
conventional system does not manage the lot of medicines or the expiration period
of medicines. Therefore, if a medicine manufacturer recalls medicines, the medicines
from the lot being recalled cannot be tracked. Another problem is that the medicines,
of which the expiration period is reached after the medicines have been taken out
of the medicine packing container and before the number of days of prescription has
not passed, are used in dispensation.
[0005] An object of the present invention is to provide a medicine dispensing system capable
of reliably managing one or both of the lot of medicines and the expiration period
of medicines.
SOLUTION TO PROBLEM
[0006] The present invention provides a medicine dispensing system including a plurality
of medicine dispensing apparatuses (17A to 17C), a work instruction data preparation
section (9), one or more medicine distribution devices (15), a medicine stock management
database (7), a medicine database (5), and a dispensation data preparation section
(13).
[0007] The plurality of medicine dispensing apparatuses (17A to 17C) each have a function
of feeding a set of one or more types of medicines into a packing material based on
each of a plurality of dispensation data (DA1 to DA3), and each include a personal
medicine distributor (18A to 18C). Each personal medicine distributor (18A to 18C)
includes a personal medicine cassette (31) having a plurality of cells (32) for containing
one or more types of medicines, and is configured to add the one or more types of
medicines, which have been fed into the plurality of cells (32) of the personal medicine
cassette (31), to the set of one or more types of medicines to be dispensed based
on the dispensation data.
[0008] The work instruction data preparation section (9) prepares work instruction data
required to take one or more types of medicines, which need to be replenished while
the plurality of medicine dispensing apparatuses are in operation, out of one or more
types of medicine packing containers and feeds the one or more types of medicines
into one or more spare storage containers when it is assumed that the plurality of
medicine dispensing apparatuses operate to dispense the medicines based on the plurality
of dispensation data (DA1 to DA3). Herein, the term "spare storage containers" refers
to storage containers into which medicines have been fed in advance for the purpose
of use by the medicine dispensing apparatuses. The spare storage containers may be
the same as storage containers to be used by the medicine dispensing apparatuses.
In this case, the spare storage containers are directly set to the medicine dispensing
apparatuses for replacement. The spare storage containers may be transfer containers
provided for the purpose of transfer. In this case, the medicines may be fed from
the spare storage containers into the storage containers to be used by the medicine
dispensing apparatuses. The term "medicine packing containers" refers to containers
configured to store medicines provided by medicine manufacturers, which may be containers
such as bottles for individual packing or PTP sheets for PTP packing. If the work
instruction data include an instruction to feed a quantity of medicines into the storage
containers, the quantity being determined in advance according to the type of the
medicines, inventory management can be performed with reference to the number of filled
storage containers, which facilitates inventory management. The work instruction data
preparation section (9) may prepare work instruction data on an instruction to preferentially
prepare medicines that are to be out of stock soon and medicines that are used in
a large quantity. This reduces the possibility that medicines are out of stock.
[0009] The one or more medicine distribution devices (15) feed the one or more types of
medicines into the plurality of cells of the personal medicine cassette based on each
of a plurality of distribution data (DB). The medicine stock management database (7)
is used to manage the quantity of medicines left in stock in the plurality of medicine
dispensing apparatuses (17A to 17C) and the one or more medicine distribution devices
(15) and the quantity of medicines left in stock in the one or more filled spare storage
containers that have been prepared based on the work instruction data. The medicine
database stores various types of medicine information including lot information on
the plurality of types of medicines to be dispensed by the plurality of medicine dispensing
apparatuses and the number of days for effective use after the respective medicines
are taken out of the medicine packing containers.
[0010] In the present invention, the dispensation data preparation section (13) includes
a main process data preparation section (19) configured to prepare, for each of the
plurality of medicine dispensing apparatuses, the plurality of dispensation data needed
for the plurality of medicine dispensing apparatuses to separately perform dispensation
based on a multiplicity of prescription data input from a prescription database, medicine
information data input from the medicine database, and medicine stock information
input from the medicine stock management database. The dispensation data preparation
section (13) also includes a lot change determination section and a data changing
section (25). The lot change determination section determines, based on the lot information,
whether or not the lot of the medicines to be used may be changed while the medicine
dispensing apparatuses (17A to 17C) are in operation. Herein, the phrase "while the
medicine dispensing apparatuses (17A to 17C) are in operation" means "while the medicine
dispensing apparatuses (17A to 17C) are performing dispensation based on the distribution
data. The data changing section (25) provides the main process data preparation section
(19) with an instruction to change the dispensation data so as to include data on
an instruction to change a combination of the plurality of dispensation data prepared
for each of the plurality of medicine dispensing apparatuses, when the lot change
determination section determines that there is a possibility that the lot of the medicines
may be changed while the medicine dispensing apparatuses are in operation, such that
there is not a change in the lot while the plurality of medicine dispensing apparatuses
(17A to 17C) are in operation. The data changing section (25) provides the main process
data preparation section (19) with an instruction to change the dispensation data
so as to include data on an instruction to discard the medicines that are relevant
to a change in the lot and are left in the medicine dispensing apparatus (17A to 17C)
that is relevant to the change in the lot of the medicines, and to use medicines in
a new lot when it is determined that there is a possibility that the lot of the medicines
to be used is changed while the medicine dispensing apparatuses (17A to 17C) are in
operation even if the combination of the plurality of dispensation data is changed.
The dispensation data preparation section (13) further includes a distribution data
preparation section (21) configured to prepare the plurality of distribution data
(DB) for the one or more medicine distribution devices (15) along with the plurality
of dispensation data for the medicine dispensing apparatuses each including the personal
medicine distributor.
[0011] Since the dispensation data preparation section (13) includes the lot change determination
section and the data changing section, the lot of the medicines to be used is not
changed while the medicine dispensing apparatuses (17A to 17C) are in operation. As
a result, according to the present invention, it is possible to prevent a change in
the lot of medicines of the same type to be provided to one patient, which makes it
possible to manage the lot of medicines reliably compared to the related art.
[0012] The work instruction data preparation section (9) discussed above has a function
of recording data on an unpacking date, on which the medicine is taken out of the
medicine packing container, in the medicine stock management database. The dispensation
data preparation section (13) further includes an expiration period determination
section (27) configured to determine a dispensation date, on which each of the one
or more types of medicines left in stock should be dispensed, and to determine whether
or not a first expiration date is later than a second expiration date. The first expiration
date is defined by adding to the dispensation date a reference number of days that
is determined based on the number of days of prescription included in the prescription
data and that is equal to or more than the number of days of prescription. The second
expiration date is defined by adding the number of days for effective use to the unpacking
date. The expiration period determination section (27) has a function of changing
the combination of the plurality of dispensation data prepared for each of the plurality
of medicine dispensing apparatuses, when it is determined that the first expiration
date is later than the second expiration date, such that there is no combination for
which the first expiration date is later than the second expiration date for any of
the one or more types of medicines to be dispensed by the plurality of medicine dispensing
apparatuses (17A to 17C), and deciding to discard the medicines when there is any
combination of the plurality of dispensation data for which the first expiration date
is later than the second expiration date for the one or more types of medicines to
be dispensed by the plurality of medicine dispensing apparatuses (17A to 17C) even
if the combination has been changed, and also has a function of providing the main
process data preparation section (19) with an instruction to include, in the dispensation
data, data on an instruction to change the combination of the plurality of dispensation
data and data on an instruction to discard the medicines decided to be discarded and
use new medicines.
[0013] Since the dispensation data preparation section (13) is provided with the expiration
period determination section (27), it is possible to determine with reference to the
unpacking date, rather than the dispensation date, whether or not the medicines are
effective for use. This reliably prevents medicines that were taken out of the medicine
packing container from being provided to patients after a number of days have passed.
[0014] The reference number of days discussed above is preferably determined to be the same
as the largest number among a plurality of numbers of days of prescription included
in the plurality of prescription data. This allows the expiration period of medicines
to be managed well in practice even if the medicines have various numbers of days
of prescription. The reference number of days may be variable. This allows application
of the present invention also to medicines with different numbers of days for effective
use.
[0015] If the actual number of days of prescription is to be considered at all times, the
reference number of days may be the same as the number of days of prescription included
in the prescription data.
[0016] As a matter of course, the present invention may also be applied to a case where
the medicine dispensing apparatuses do not each include a personal medicine distributor.
In this case, it is not necessary to provide the dispensation data preparation section
with a distribution data preparation section, and the medicine distribution devices
may not be provided.
[0017] As a matter of course, the present invention may also be applied to a case where
one of the lot of medicines and the expiration period of medicines is managed. If
only the lot of medicines is managed, the dispensation data preparation section may
not be provided with an expiration period determination section. If only the expiration
period of medicines is managed, the dispensation data preparation section may not
be provided with a lot change determination section and a data changing section.
BRIEF DESCRIPTION OF DRAWINGS
[0018]
Fig. 1 is a block diagram illustrating an example of the configuration of a medicine
dispensing system according to an embodiment of the present invention.
Fig. 2 illustrates an example of a personal medicine cassette.
Fig. 3 is a block diagram illustrating an example of the configuration of a medicine
dispensing system according to another embodiment of the present invention.
Fig. 4 is a block diagram illustrating an example of the configuration of a medicine
dispensing system according to another embodiment of the present invention.
DESCRIPTION OF EMBODIMENTS
[0019] A medicine dispensing system according to an embodiment of the present invention
will be described in detail below with reference to the drawings. Fig. 1 is a block
diagram illustrating the configuration of a medicine dispensing system 1 according
to the embodiment. The medicine dispensing system 1 includes a prescription database
3 that stores prescriptions, a medicine database 5, and a medicine stock management
database 7. In order to dispense medicines, the medicine dispensing system 1 additionally
includes a work instruction data preparation section 9, a feeding/storage station
11, a dispensation data preparation section 13, one or more medicine distribution
devices 15 (one medicine distribution device 15 is illustrated in Fig. 1), and a plurality
of medicine dispensing apparatuses 17A to 17C (three medicine dispensing apparatuses
are illustrated in Fig. 1 as a typical example). The dispensation data preparation
section 13 includes a main process data preparation section 19, a distribution data
preparation section 21, a lot change determination section 23, a data changing section
25, and an expiration period determination section 27.
[0020] In the embodiment, before the medicine dispensing apparatuses 17A to 17C start operation,
the dispensation data preparation section 13 starts preparing dispensation data DA1
to DA3 when prescription data DD are input from the prescription database 3. In the
dispensation data preparation section 13, prior to the preparing dispensation data,
the lot change determination section 23 determines whether or not there is a possibility
that the lot of the medicines may be changed while the medicine dispensing apparatuses
17A to 17C are in operation. The expiration period determination section 27 determines
the expiration period of the medicines to be used. When the main process data preparation
section 19 of the dispensation data preparation section 13 finally prepares dispensation
data, the distribution data preparation section 21 of the dispensation data preparation
section 13 prepares distribution data DB to be used by the medicine distribution devices
15. The work instruction data preparation section 9 prepares work instruction data
DC required to take one or more types of medicines, which need to be replenished while
the plurality of medicine dispensing apparatuses 17A to 17C are in operation, out
of one or more types of medicine packing containers and feeds the one or more types
of medicines into one or more spare storage containers when it is assumed that the
plurality of medicine dispensing apparatuses 17A to 17C operate to dispense the medicines
based on the plurality of dispensation data DA (DA1 to DA3) prepared by the main process
data preparation section 19. In the feeding/storage station 11, a worker feeds medicines
needed for dispensation into storage containers for replacement to store the storage
containers based on the work instruction data, for example. The medicine distribution
device 15 distributes personal medicines to a plurality of cells 32 of personal medicine
cassettes 31 to be used by personal medicine distributors 18A to 18C based on the
distribution data DB. Before the medicine dispensing apparatuses 17A to 17C start
operation, the worker transfers storage containers that need to be replenished from
the feeding/storage station 11 to set the storage containers to the medicine dispensing
apparatuses 17A to 17C, and transfers the personal medicine cassettes 31 from the
medicine distribution devices 15 to set the personal medicine cassettes 31 to the
personal medicine distributors 218A to 218C. After that, the medicine dispensing apparatuses
17A to 17C perform dispensation based on the dispensation data DA1 to DA3, and the
personal medicine distributors 18A to 18C of the medicine dispensing apparatuses 17A
to 17C put the personal medicines into the medicines to be dispensed in synchronization
with the dispensation.
[0021] The function and the operation of the components will be specifically described below.
A plurality of types of medicines are contained in a plurality of storage containers.
The medicine dispensing apparatuses 17A to 17C have a function of discharging one
or more types of medicines from the storage containers and feeding the one or more
types of medicines into a packing material based on each of the plurality of dispensation
data DA (DA1, DA2, DA3) output from the dispensation data preparation section 13.
The medicine dispensing apparatuses 17A to 17C used in the embodiment each include
a personal medicine distributor configured to add the one or more types of medicines,
which have been fed into the plurality of cells 32 of the personal medicine cassette
31 for containing one or more types of medicines as illustrated in Fig. 2, to the
set of medicines to be dispensed based on the dispensation data (DA1, DA2, DA3). Such
medicine dispensing apparatuses each including the storage container and the personal
medicine distributor 18A to 18C are described in
JP 06-40401 A and
JP 2001-87353 A, and thus are not described in detail.
[0022] The one or more medicine distribution devices 15 feed medicines into the plurality
of cells 32 of the personal medicine cassette 31 based on the plurality of distribution
data DB prepared by the distribution data preparation section 21 to be discussed later.
The medicine distribution devices are not limited to those which feed medicines into
a plurality of cells of a personal medicine cassette by the medium of manual work
(
JP 2007-209600 A, for example), and may be those which automatically feed medicines into a plurality
of cells of a personal medicine cassette (
JP 2012-187273 A).
[0023] The work instruction data preparation section 9 prepares work instruction data DC
required to feed a plurality of types of medicines to be used by the plurality of
medicine dispensing apparatuses 17A to 17C into the storage containers based on the
plurality of dispensation data (DA1, DA2, DA3) prepared by the main process data preparation
section 19 of the dispensation data preparation section 13. In the embodiment, the
work instruction data preparation section 9 is configured to prepare work instruction
data on an instruction to preferentially prepare medicines that are to be out of stock
soon and medicines that are used in a large quantity. This reduces the possibility
that medicines are out of stock.
[0024] The storage containers are used to transfer medicines to the medicine dispensing
apparatuses 17A to 17C. Medicines of the same type are fed into one storage container.
Normally, a plurality of spare storage containers filled with medicines are prepared
for each type of medicines. The medicines can be dispensed, and may be tablets, in
capsules, or the like. The worker unseals a medicine packing container that contains
designated medicines, and feeds the medicines into spare storage containers that can
be used by the medicine dispensing apparatuses 17A to 17C. In the embodiment, the
work instruction data preparation section 9 has a function of recording data on an
unpacking date d1, on which the medicine is taken out of the medicine packing container,
in the medicine stock management database 7. The medicines are fed into the storage
containers at the feeding/storage station 11 and the spare storage containers filled
with the medicines are stored in the feeding/storage station 11. The medicines are
fed by the worker using a feeder or the like. The spare storage containers filled
with the medicines are stored in a predetermined storage shelf. In the embodiment,
the work instruction data DC include an instruction to feed a quantity of medicines
into the spare storage containers, the quantity being determined in advance according
to the type of the medicines. As a result, inventory management can be performed with
reference to the number of filled spare storage containers, which facilitates inventory
management.
[0025] The medicine database 5 stores various types of medicine information including lot
information on the plurality of types of medicines to be dispensed by the plurality
of medicine dispensing apparatuses 17A to 17C and the number of days for effective
use after the respective medicines are taken out of the medicine packing containers.
[0026] The medicine stock management database 7 is used to manage the quantity of medicines
left in stock in the plurality of medicine dispensing apparatuses 17A to 17C and the
one or more medicine distribution devices 15 and the quantity of medicines left in
stock in the spare storage containers left in the feeding/storage station 11 that
have been prepared based on the work instruction data prepared by the work instruction
data preparation section 9. The medicine stock management database 7 also stores data
on the dispensation date along with the inventory information.
[0027] The main process data preparation section 19 of the dispensation data preparation
section 13 prepares, for each of the plurality of medicine dispensing apparatuses
17A to 17C, the plurality of dispensation data DA (DA1, DA2, DA3) needed for the plurality
of medicine dispensing apparatuses 17A to 17C to separately perform dispensation based
on a multiplicity of prescription data input from the prescription database 3, the
medicine information data input from the medicine database 5, the medicine stock information
input from the medicine stock management database 7, an instruction from the data
changing section 25, and an instruction from the expiration period determination section
27. The distribution data preparation section 21 of the dispensation data preparation
section 13 prepares the plurality of distribution data DB for the medicine distribution
devices 15 as the main process data preparation section 19 prepares the plurality
of dispensation data DA1, DA2, and DA3 for the medicine dispensing apparatuses 17A
to 17C. The distribution data DB are needed for the medicine distribution devices
15 to prepare personal medicine cassettes to be mounted to the personal medicine distributors
18A to 18C.
[0028] The lot change determination section 23 of the dispensation data preparation section
13 determines, based on the lot information stored in the medicine database 5, whether
or not the lot of the medicines to be used may be changed while the medicine dispensing
apparatuses 17A to 17C are in operation. Before the medicine dispensing apparatuses
17A to 17C start operation, the data changing section 25 provides the main process
data preparation section 19 with an instruction to change the dispensation data (DA1,
DA2, DA3) so as to include data on an instruction to change a combination of the plurality
of dispensation data (DA1, DA2, DA3) prepared for each of the plurality of medicine
dispensing apparatuses 17A to 17C, such that there is not a change in the lot while
the plurality of medicine dispensing apparatuses 17A to 17C are in operation, when
the lot change determination section 23 determines that there is a possibility that
the lot of the medicines may be changed while the medicine dispensing apparatuses
17A to 17C are in operation. The data changing section 25 also provides the main process
data preparation section 19 with an instruction to change the dispensation data (DA1,
DA2, DA3) so as to include data on an instruction to discard the medicines that are
relevant to a change in the lot and are left in the medicine dispensing apparatus
(17A to 17C) that is relevant to the change in the lot of the medicines, and to use
medicines in a new lot, when it is determined that there is a possibility that the
lot of the medicines to be used may be changed while the medicine dispensing apparatuses
17A to 17C are in operation even if the combination of the plurality of dispensation
data (DA1, DA2, DA3) is changed. Since the dispensation data preparation section 13
includes the lot change determination section 23 and the data changing section 25,
the lot of the medicines to be used is not changed while the medicine dispensing apparatuses
17A to 17C are in operation. As a result, according to the embodiment, it is possible
to prevent a change in the lot of medicines of the same type to be provided to one
patient.
[0029] The expiration period determination section 27 of the dispensation data preparation
section 13 has a function of determining a dispensation date d2, on which each of
the medicines left in stock should be dispensed, and deciding to discard the medicines
when it is determined that a first expiration date P1 (= d2 + RP) is later than a
second expiration date P2 (= d1 + N), wherein the first expiration date P1 is defined
by adding to the dispensation date d2 a reference number of days RP that is determined
based on the number of days of prescription included in the prescription data and
that is equal to or more than the number of days of prescription, and the second expiration
date P2 is defined by adding the number of days for effective use (N days, N being
a natural number) to the unpacking date d1, and also has a function of including,
in the dispensation data (DA1, DA2, DA3), data on an instruction to discard the medicines
decided to be discarded and use new medicines. That is, the expiration period determination
section 27 determines whether or not the following relationships are met.
[0030] If the first expiration date P1 is earlier than the second expiration date P2, the
medicines can be used.
[0031] If the first expiration date P1 is later than the second expiration date P2, the
medicines are to be discarded.
[0032] Specific examples based on the 2011 calendar are as follows.
[0033]
First expiration date P1: dispensation date (December 1) + reference number of days
(two weeks) → December 14
Second expiration date P2: unpacking date (November 28) + number of days for effective
use (20 days) → December 17
[0034] If the above relationship is met, the medicines can be used.
[0035]
First expiration date P1: dispensation date (December 1) + reference number of days
(three weeks) → December 21
Second expiration date P2: unpacking date (November 28) + number of days for effective
use (20 days) → December 17
[0036] If the above relationship is met, the medicines are "to be discarded (cannot be used)".
[0037] In the embodiment, the expiration period determination section 27 has a function
of providing the main process data preparation section 19 with an instruction to change
the combination of the plurality of dispensation data prepared for each of the plurality
of medicine dispensing apparatuses 17A to 17C, when it is determined that the first
expiration date P1 is later than the second expiration date P2, such that there is
no combination for which the first expiration date P1 is later than the second expiration
date P2 for any of the medicines to be dispensed by the plurality of medicine dispensing
apparatuses 17A to 17C. The expiration period determination section 27 additionally
has a function of deciding to discard the medicines for which the first expiration
date P1 is later than the second expiration date P2 when there is any combination
of the plurality of dispensation data for which the first expiration date P1 is later
than the second expiration date P2 for the medicines to be dispensed by the plurality
of medicine dispensing apparatuses 17A to 17C even if the combination has been changed,
and also has a function of providing the main process data preparation section 19
with an instruction to include, in the dispensation data, data on an instruction to
change the combination of the plurality of dispensation data and data on an instruction
to discard the medicines decided to be discarded and use new medicines.
[0038] Since the dispensation data preparation section 13 is provided with the expiration
period determination section 27 in this way, it is possible to determine with reference
to the unpacking date, rather than the dispensation date, whether or not the medicines
are effective for use. This reliably prevents medicines that were taken out of the
medicine packing container from being provided to patients after a number of days
have passed.
[0039] The reference number of days discussed above can be varied. The reference number
of days is preferably determined to be the same as the largest number among a plurality
of numbers of days of prescription included in the plurality of prescription data.
This allows the expiration period of medicines to be managed well in practice even
if the medicines have various numbers of days of prescription. If the actual prescription
period is to be considered at all times, the reference number of days may be the same
as the number of days of prescription included in the prescription data.
[0040] By managing both the lot of medicines and the expiration period of medicines as in
the embodiment, "the medicines to be out of stock can be specified beforehand, and
the quantity of the medicines to be needed can be calculated", and thus "the medicines
to be out of stock can be prepared beforehand". This allows medicines to be smoothly
replenished in the feeding/storage station 11. This also makes it possible to shorten
the operation stop time of the medicine dispensing apparatuses and improve the efficiency
of the medicine dispensing apparatuses.
[0041] Operation of the embodiment of Fig. 1 will be described. Before the medicine dispensing
apparatuses 17A to 17C start operation, the main process data preparation section
19 of the dispensation data preparation section 13 starts preparing dispensation data
DA1 to DA3 when prescription data DD are input from the prescription database 3. In
the dispensation data preparation section 13, prior to preparing dispensation data,
the lot change determination section 23 determines whether or not there is a possibility
that the lot of the medicines may be changed while the medicine dispensing apparatuses
17A to 17C are in operation. The expiration period determination section 27 determines
the expiration period of the medicines to be used. When the main process data preparation
section 19 of the dispensation data preparation section 13 finally prepares dispensation
data, the distribution data preparation section 21 of the dispensation data preparation
section 13 prepares distribution data DB to be used by the medicine distribution devices
15. The work instruction data preparation section 9 prepares work instruction data
required to feed a plurality of types of medicines to be used by the plurality of
medicine dispensing apparatuses 17A to 17C into the storage containers based on the
plurality of dispensation data (DA1 to DA3) prepared by the main process data preparation
section 19. In the feeding/storage station 11, a worker feeds medicines needed for
dispensation into spare storage containers to store the spare storage containers in
a storage shelf based on the work instruction data. The medicine distribution device
15 distributes personal medicines to a plurality of cells 32 of personal medicine
cassettes 31 to be used by personal medicine distributors 18A to 18C based on the
distribution data DB. Before the medicine dispensing apparatuses 17A to 17C start
dispensation, the worker transfers from the feeding/storage station 11 spare storage
containers for storage containers that need to be replenished indicated in the dispensation
data (DA1 to DA3), and sets the spare storage containers to the medicine dispensing
apparatuses 17A to 17C. The worker also transfers the personal medicine cassettes
31 from the medicine distribution devices 15 to set the personal medicine cassettes
31 to the personal medicine distributors 218A to 218C of the corresponding medicine
dispensing apparatuses 17A to 17C. After the personal medicine cassettes 31 are set,
the medicine dispensing apparatuses 17A to 17C perform dispensation based on the dispensation
data DA1 to DA3, and the personal medicine distributors 18A to 18C of the medicine
dispensing apparatuses 17A to 17C put the personal medicines into the medicines to
be dispensed in synchronization with the dispensation.
[0042] In the embodiment described above, both the lot of medicines and the expiration period
of medicines are managed. As a matter of course, however, the present invention may
also be applied to a case where one of the lot of medicines and the expiration period
of medicines is managed. Fig. 3 is a block diagram illustrating the configuration
of a medicine dispensing system 101 according to an embodiment in which only the lot
of medicines is managed. In Fig. 3, blocks that are the same as those in the embodiment
illustrated in Fig. 1 are denoted by reference numerals obtained by adding 100 to
the reference numerals affixed to their counterparts in Fig. 1 to omit their descriptions.
The embodiment of Fig. 3 is different from the embodiment of Fig. 1 in that medicine
dispensing apparatuses 117A to 117C do not each include a personal medicine distributor,
that a dispensation data preparation section 113 is not provided with an expiration
period determination section and a distribution data preparation section, and that
medicine distribution devices are also not provided. The medicine dispensing system
according to the embodiment cannot manage the expiration period, but can be used in
countries in which expiration period management is not required.
[0043] Fig. 4 is a block diagram illustrating the configuration of a medicine dispensing
system 201 according to an embodiment in which only the expiration period of medicines
is managed. In Fig. 4, blocks that are the same as those in the embodiment illustrated
in Fig. 1 are denoted by reference numerals obtained by adding 200 to the reference
numerals affixed to their counterparts in Fig. 1 to omit their descriptions. The embodiment
of Fig. 4 is different from the embodiment of Fig. 1 in that a dispensation data preparation
section 213 is not provided with a lot change determination section and a data changing
section. The embodiment can be used in countries in which lot management is not required
and only expiration period management is required. In Japan, incidentally, neither
lot management nor expiration period management is required by law.
[0044] Data processing in each of the embodiments described above is performed by one or
more computers or processors.
INDUSTRIAL APPLICABILITY
[0045] According to the present invention, it is possible to prevent a change in the lot
of medicines of the same type to be provided to one patient, which makes it possible
to manage the lot of medicines reliably compared to the related art. According to
the present invention, in addition, it is possible to reliably prevent medicines that
were taken out of the medicine packing container from being provided to patients after
a number of days have passed.
Description of Reference Numerals
[0046]
- 1
- medicine dispensing system
- 3
- prescription database
- 5
- medicine database
- 7
- medicine stock management database
- 9
- work instruction data preparation section
- 11
- feeding/storage station
- 13
- dispensation data preparation section
- 15
- medicine distribution device
- 17a to 17c
- medicine dispensing apparatus
- 18A to 18C
- personal medicine distributor
- 19
- main process data preparation section
- 21
- distribution data preparation section
- 23
- lot change determination section
- 25
- data changing section
- 27
- expiration period determination section
- 31
- personal medicine cassette
- 32
- cell
1. A medicine dispensing system comprising:
a plurality of medicine dispensing apparatuses each having a function of feeding a
set of one or more types of medicines into a packing material based on each of a plurality
of dispensation data, and each including a personal medicine distributor, wherein
each personal medicine distributor includes a personal medicine cassette having a
plurality of cells for containing one or more types of medicines and is configured
to add the one or more types of medicines, which have been fed into the plurality
of cells of the personal medicine cassette, to the set of one or more types of medicines
to be dispensed based on the dispensation data;
a work instruction data preparation section configured to prepare work instruction
data required to take one or more types of medicines, which need to be replenished
while the plurality of medicine dispensing apparatuses are in operation, out of one
or more types of medicine packing containers and to feed the one or more types of
medicines into one or more spare storage containers when it is assumed that the plurality
of medicine dispensing apparatuses operate to dispense the medicines based on the
plurality of dispensation data;
one or more medicine distribution devices configured to feed the one or more types
of medicines into the plurality of cells of the personal medicine cassette based on
each of a plurality of distribution data;
a medicine stock management database used to manage the quantity of medicines left
in stock in the plurality of medicine dispensing apparatuses and the one or more medicine
distribution devices and the quantity of medicines left in stock in the one or more
spare storage containers that have been prepared based on the work instruction data,
wherein the work instruction data preparation section has a function of recording
data on an unpacking date, on which the medicine is taken out of the medicine packing
container, in the medicine stock management database;
a medicine database configured to store various types of medicine information including
lot information on the plurality of types of medicines to be dispensed by the plurality
of medicine dispensing apparatuses and the number of days for effective use after
the respective medicines are taken out of the medicine packing containers; and
a dispensation data preparation section comprising:
a main process data preparation section configured to prepare, for each of the plurality
of medicine dispensing apparatuses, the plurality of dispensation data needed for
the plurality of medicine dispensing apparatuses to separately perform dispensation
based on a multiplicity of prescription data input from a prescription database, medicine
information data input from the medicine database, and medicine stock information
input from the medicine stock management database;
a lot change determination section configured to determine, based on the lot information
and before the medicine dispensing apparatuses start operation, whether or not there
is a possibility that the lot of the medicines to be used may be changed while the
medicine dispensing apparatuses are in operation;
a data changing section configured to provide the main process data preparation section
with an instruction to change the dispensation data so as to include data on an instruction
to change a combination of the plurality of dispensation data when the lot change
determination section determines that there is a possibility that the lot of the medicines
to be used may be changed while the medicine dispensing apparatuses are in operation,
and to change the dispensation data so as to include data on an instruction to discard
the medicines that are relevant to a change in the lot and left in the medicine dispensing
apparatus that is relevant to the change in the lot of the medicines and to use medicines
in a new lot when it is determined that the lot of the medicines to be used is changed
while the medicine dispensing apparatuses are in operation even if the combination
is changed;
a distribution data preparation section configured to prepare the plurality of distribution
data for the one or more medicine distribution devices along with the plurality of
dispensation data for the medicine dispensing apparatuses each including the personal
medicine distributor; and
an expiration period determination section having a function of determining a dispensation
date on which each of the one or more types of medicines left in stock should be dispensed,
changing the combination of the plurality of dispensation data prepared for each of
the plurality of medicine dispensing apparatuses, when it is determined that a first
expiration date is later than a second expiration date, such that there is no combination
for which the first expiration date is later than the second expiration date for any
of the one or more types of medicines to be dispensed by the plurality of medicine
dispensing apparatuses, wherein the first expiration date is defined by adding to
the dispensation date a reference number of days that is determined based on the number
of days of prescription included in the prescription data and that is equal to or
more than the number of days of prescription, and the second expiration date is defined
by adding the number of days for effective use to the unpacking date, and deciding
to discard the medicines for which the first expiration date is later than the second
expiration date when there is any combination of the plurality of dispensation data
for which the first expiration date is later than the second expiration date for the
one or more types of medicines to be dispensed by the plurality of medicine dispensing
apparatuses even if the combination has been changed, and also having a function of
providing the main process data preparation section with an instruction to include,
in the dispensation data, data on an instruction to change the combination of the
plurality of dispensation data and data on an instruction to discard the medicines
decided to be discarded and use new medicines.
2. The medicine dispensing system according to claim 1, wherein
the work instruction data preparation section has a function of storing the lot information
in the medicine database.
3. The medicine dispensing system according to claim 1, wherein
the work instruction data preparation section prepares the work instruction data for
each of the medicine dispensing apparatuses.
4. A medicine dispensing system comprising:
a plurality of medicine dispensing apparatuses each having a function of feeding a
set of one or more types of medicines into a packing material based on each of a plurality
of dispensation data;
a work instruction data preparation section configured to prepare work instruction
data required to take one or more types of medicines, which need to be replenished
while the plurality of medicine dispensing apparatuses are in operation, out of one
or more types of medicine packing containers and to feed the one or more types of
medicines into one or more spare storage containers when it is assumed that the plurality
of medicine dispensing apparatuses operate to dispense the medicines based on the
plurality of dispensation data;
a medicine stock management database used to manage the quantity of medicines left
in stock in the plurality of medicine dispensing apparatuses and one or more medicine
distribution devices and the quantity of medicines left in stock in the one or more
spare storage containers that have been prepared based on the work instruction data;
a medicine database configured to store various types of medicine information including
lot information on the plurality of types of medicines to be dispensed by the plurality
of medicine dispensing apparatuses; and
a dispensation data preparation section comprising:
a main process data preparation section configured to prepare, for each of the plurality
of medicine dispensing apparatuses, the plurality of dispensation data needed for
the plurality of medicine dispensing apparatuses to separately perform dispensation
based on a multiplicity of prescription data input from a prescription database, medicine
information data input from the medicine database, and medicine stock information
input from the medicine stock management database;
a lot change determination section configured to determine, based on the lot information
and before the medicine dispensing apparatuses start operation, whether or not there
is a possibility that the lot of the medicines to be used may be changed while the
medicine dispensing apparatuses are in operation; and
a data changing section configured to provide the main process data preparation section
with an instruction to change the dispensation data so as to include data on an instruction
to change a combination of the plurality of dispensation data prepared for each of
the plurality of medicine dispensing apparatuses, when the lot change determination
section determines that there is a possibility that the lot of the medicines may be
changed while the medicine dispensing apparatuses are in operation, such that there
is not a change in the lot while the plurality of medicine dispensing apparatuses
are in operation, and to change the dispensation data so as to include data on an
instruction to discard the medicines that are relevant to a change in the lot and
left in the medicine dispensing apparatus that is relevant to the change in the lot
of the medicines and use medicines in a new lot when it is determined that the lot
of the medicines to be used is changed while the medicine dispensing apparatuses are
in operation even if the combination of the plurality of dispensation data is changed.
5. The medicine dispensing system according to claim 4, wherein:
at least one of the plurality of medicine dispensing apparatuses includes a personal
medicine distributor configured to add medicines, which have been fed into a plurality
of cells of a personal medicine cassette for containing one or more types of medicines,
to the set of medicines to be dispensed based on the dispensation data; and
the dispensation data preparation section further comprises a distribution data preparation
section configured to prepare a plurality of distribution data for the one or more
medicine distribution devices along with the plurality of dispensation data for the
medicine dispensing apparatuses each including the personal medicine distributor.
6. The medicine dispensing system according to claim 4, wherein:
the work instruction data preparation section has a function of recording data on
an unpacking date, on which the medicine is taken out of the medicine packing container,
in the medicine stock management database; and
the dispensation data preparation section further comprises an expiration period determination
section having a function of determining a dispensation date, on which each of the
one or more types of medicines left in stock should be dispensed, changing the combination
of the plurality of dispensation data prepared for each of the plurality of medicine
dispensing apparatuses, when it is determined that a first expiration date is later
than a second expiration date, such that there is no combination for which the first
expiration date is later than the second expiration date for any of the one or more
types of medicines to be dispensed by the plurality of medicine dispensing apparatuses,
wherein the first expiration date is defined by adding to the dispensation date a
reference number of days that is determined based on the number of days of prescription
included in the prescription data and that is equal to or more than the number of
days of prescription, and the second expiration date is defined by adding the number
of days for effective use to the unpacking date, and deciding to discard the medicines
for which the first expiration date is later than the second expiration date when
there is any combination of the plurality of dispensation data for which the first
expiration date is later than the second expiration date for the one or more types
of medicines to be dispensed by the plurality of medicine dispensing apparatuses even
if the combination has been changed, and also having a function of providing the main
process data preparation section with an instruction to include, in the dispensation
data, data on an instruction to change the combination of the plurality of dispensation
data and data on an instruction to discard the medicines decided to be discarded and
use new medicines.
7. The medicine dispensing system according to claim 1 or 4, wherein
the work instruction data preparation section prepares the work instruction data including
an instruction to execute the work using medicines in the new lot when the dispensation
data including data on an instruction to use medicines in the new lot are input.
8. A medicine dispensing system comprising:
a plurality of medicine dispensing apparatuses each having a function of feeding a
set of one or more types of medicines into a packing material based on each of a plurality
of dispensation data, and each including a personal medicine distributor configured
to add medicines, which have been fed into a plurality of cells of a personal medicine
cassette for containing one or more types of medicines, to the set of medicines to
be dispensed based on the dispensation data;
a work instruction data preparation section configured to prepare work instruction
data required to take one or more types of medicines, which need to be replenished
while the plurality of medicine dispensing apparatuses are in operation, out of one
or more types of medicine packing containers and to feed the one or more types of
medicines into one or more spare storage containers when it is assumed that the plurality
of medicine dispensing apparatuses operate to dispense the medicines based on the
plurality of dispensation data;
one or more medicine distribution devices configured to feed the one or more types
of medicines into the plurality of cells of the personal medicine cassette based on
each of a plurality of distribution data;
a medicine stock management database used to manage the quantity of medicines left
in stock in the plurality of medicine dispensing apparatuses and the one or more medicine
distribution devices and the quantity of medicines left in stock in the one or more
spare storage containers that have been prepared based on the work instruction data,
wherein the work instruction data preparation section has a function of recording
data on an unpacking date, on which the medicine is taken out of the medicine packing
container, in the medicine stock management database;
a medicine database configured to store various types of medicine information including
the number of days for effective use after the respective medicines are taken out
of the medicine packing container for the plurality of types of medicines to be dispensed
by the plurality of medicine dispensing apparatuses; and
a dispensation data preparation section comprising:
a main process data preparation section configured to prepare, for each of the plurality
of medicine dispensing apparatuses, the plurality of dispensation data needed for
the plurality of medicine dispensing apparatuses to separately perform dispensation
based on a multiplicity of prescription data input from a prescription database, medicine
information data input from the medicine database, and medicine stock information
input from the medicine stock management database;
a distribution data preparation section configured to prepare the plurality of distribution
data for the one or more medicine distribution devices along with the plurality of
dispensation data for the medicine dispensing apparatuses each including the personal
medicine distributor; and
an expiration period determination section having a function of determining a dispensation
date, on which each of the one or more types of medicines left in stock should be
dispensed, changing the combination of the plurality of dispensation data prepared
for each of the plurality of medicine dispensing apparatuses, when it is determined
that a first expiration date is later than a second expiration date, such that there
is no combination for which the first expiration date is later than the second expiration
date for any of the one or more types of medicines to be dispensed by the plurality
of medicine dispensing apparatuses, wherein the first expiration date is defined by
adding to the dispensation date a reference number of days that is determined based
on the number of days of prescription included in the prescription data and that is
equal to or more than the number of days of prescription, and the second expiration
date is defined by adding the number of days for effective use to the unpacking date,
and deciding to discard the medicines for which the first expiration date is later
than the second expiration date when there is any combination of the plurality of
dispensation data for which the first expiration date is later than the second expiration
date for the one or more types of medicines to be dispensed by the plurality of medicine
dispensing apparatuses even if the combination has been changed, and also having a
function of providing the main process data preparation section with an instruction
to include, in the dispensation data, data on an instruction to change the combination
of the plurality of dispensation data and data on an instruction to discard the medicines
decided to be discarded and use new medicines.
9. The medicine dispensing system according to claim 1, 6, or 8, wherein
the reference number of days is determined to be the same as the largest number among
a plurality of numbers of days of prescription included in the plurality of prescription
data.
10. The medicine dispensing system according to claim 9, wherein the reference number
of days is changeable.
11. The medicine dispensing system according to claim 1, 6, or 8, wherein
the reference number of days is the same as the number of days of prescription included
in the prescription data.
12. The medicine dispensing system according to claim 1, 4, or 8, wherein
the work instruction data preparation section prepares work instruction data on an
instruction to preferentially prepare medicines that are to be out of stock soon and
medicines that are used in a large quantity.